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Rachele JN, Mavoa S, Sugiyama T, Kavanagh A, Giles-Corti B, Brown WJ, Inoue S, Amagasa S, Turrell G. Changes in neighbourhood walkability and body mass index: An analysis of residential mobility from a longitudinal multilevel study in Brisbane, Australia. Health Place 2024; 87:103245. [PMID: 38631216 DOI: 10.1016/j.healthplace.2024.103245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Revised: 04/02/2024] [Accepted: 04/02/2024] [Indexed: 04/19/2024]
Abstract
This study examined associations between changes in neighbourhood walkability and body mass index (BMI) among 1041 residents who relocated within Brisbane, Australia between 2007 and 2016 over five waves of the HABITAT study. Measures included spatially-derived neighbourhood walkability (dwelling density, street connectivity, and land use mix) and self-reported height and weight. No associations were found between any neighbourhood walkability characteristics and BMI. Examining these associations over the life course, and the impact of residential relocation in the younger years, remains a priority for future research.
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Affiliation(s)
- Jerome N Rachele
- College of Sport, Health and Engineering, Victoria University, Melbourne, Australia; Institute for Health and Sport, Victoria University, Melbourne, Australia.
| | - Suzanne Mavoa
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
| | - Takemi Sugiyama
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Australia.
| | - Anne Kavanagh
- Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
| | | | - Wendy J Brown
- School of Human Movement and Nutrition Studies, University of Queensland, St Lucia, Australia.
| | - Shigeru Inoue
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan.
| | - Shiho Amagasa
- Department of Preventive Medicine and Public Health, Tokyo Medical University, Tokyo, Japan; Graduate School of Public Health, Teikyo University, Tokyo, Japan.
| | - Gavin Turrell
- Centre for Urban Research, RMIT University, Melbourne, Australia.
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Kristensen K, Williams LD, Kaplan C, Pineros J, Lee E, Kaufmann M, Mackesy-Amiti ME, Boodram B. A Novel Index Measure of Housing-related Risk as a Predictor of Overdose among Young People Who Inject Drugs and Injection Networks. RESEARCH SQUARE 2023:rs.3.rs-3083889. [PMID: 37461549 PMCID: PMC10350242 DOI: 10.21203/rs.3.rs-3083889/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/26/2023]
Abstract
Background For people who inject drugs (PWID), housing instability due to decreasing housing affordability and other factors (e.g., loss of housing due to severed relational ties, evictions due to drug use) results in added pressure on an already vulnerable population. Research has shown that housing instability is associated with overdose risk among PWID. However, the construct of housing instability has often been operationalized as a single dimension (e.g., housing type, homelessness, transience). We propose a multi-dimensional measure of housing instability risk and examine its association with drug overdose to promote a more holistic examination of housing status as a predictor of overdose. Methods The baseline data from a network-based, longitudinal study of young PWID and their networks living in metropolitan Chicago, Illinois was analyzed to examine the relationship between a housing instability risk index-consisting of five dichotomous variables assessing housing instability-and lifetime overdose count using negative binomial regression. Results We found a significant positive association between the housing instability risk score and lifetime overdose count after adjusting for 12 variables. Conclusions Our results support the practical utility of a multi-dimensional measure of housing instability risk in predicting overdose and highlight the importance of taking a holistic approach to addressing housing instability when designing interventions.
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Affiliation(s)
| | | | | | | | - Eunhye Lee
- University of Illinois Chicago School of Public Health
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Frederick T, Vitopoulos N, Leon S, Kidd S. Subjective housing stability in the transition away from homelessness. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:1083-1101. [PMID: 34520067 DOI: 10.1002/jcop.22702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 07/29/2021] [Accepted: 08/19/2021] [Indexed: 06/13/2023]
Abstract
Housing stability is a complex concept to measure. One set of factors under consideration are those based on a personal or subjective sense of stability. We explore the variables associated with subjective stability and explore how subjective stability relates to housing stability across time. We use data from longitudinal, mixed methods research with 85 young people exiting homelessness. We find that subjective stability is a meaningful construct that can be validated through qualitative and quantitative data. The construct is primarily linked to indicators of environmental and social wellbeing. Subjective stability is also one of the only variables with a significant relationship to T2 housing stability. Qualitative analysis is used to explore these relationships in more detail. We conclude that subjective stability can provide holistic insight into the complex life circumstances influencing housing stability. However, this strength introduces complexity in that subjective stability appears to be developed in comparison with past experiences, as well as feelings of forward momentum on goals beyond housing.
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Affiliation(s)
- Tyler Frederick
- Faculty of Social Science and Humanities, Ontario Tech University, Oshawa, Ontario, Canada
| | - Nina Vitopoulos
- Psychology, Centre for Addiction and Mental Health, Toronto, Ontario, Canada
| | - Scott Leon
- Wellesley Institute, Toronto, Ontario, Canada
| | - Sean Kidd
- Psychiatry, University of Toronto, Toronto, Ontario, Canada
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Effects of Residential Instability of Renters on Their Perceived Health Status: Findings from the Korean Welfare Panel Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17197125. [PMID: 33003395 PMCID: PMC7579450 DOI: 10.3390/ijerph17197125] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 09/26/2020] [Accepted: 09/28/2020] [Indexed: 01/21/2023]
Abstract
Identifying the impact of housing instability on the health status of renters with relatively high economic difficulties is important for the improvement of renters’ quality of life and their social security. Accordingly, this study adopted a panel data regression approach to examine the associations between residential instability and perceived health status—including physical and mental health—using 14 waves (2006–2019) of longitudinal data collected by the Korean Welfare Panel Study. The results showed that residential instability significantly affected perceived health status, and renters who experienced residential instability perceived worse health status and had more severe depression than those who did not experience residential instability. Moreover, failure to meet the minimum housing standard worsened depression in renters. Despite assistance benefits from the government, permanent rental housing and the national basic living security were also factors that worsened depression. Dissatisfaction with one’s residential environment and social relationships were also associated with increased depression. We recommend that the overall quality of housing welfare services, including a focus on the mental health of low-income renters, be improved by expanding the range of services, increasing the number of professional housing welfare workers, and supplying community facilities for increasing residential and social relationship satisfactions.
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Molina AL, Molina Y, Walley SC, Wu CL, Zhu A, Oates GR. Residential instability, neighborhood deprivation, and pediatric asthma outcomes. Pediatr Pulmonol 2020; 55:1340-1348. [PMID: 32275809 DOI: 10.1002/ppul.24771] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 03/26/2020] [Accepted: 03/29/2020] [Indexed: 12/31/2022]
Abstract
INTRODUCTION Limited work has directly compared the role of different neighborhood factors or examined their interactive effects on pediatric asthma outcomes. Our objective was to quantify the main and interactive effects of neighborhood deprivation and residential instability (RI) on pediatric asthma outcomes. METHODS We conducted a retrospective cross-sectional study of patients with a primary diagnosis of asthma hospitalized at a tertiary care pediatric hospital. Residential addresses at the index hospitalization were linked to the state area deprivation index (ADI). RI was coded as the number of residences in the past 4 years. Logistic and ordinal regression and Cox regression survival analyses were used to estimate the effect on the primary outcomes of chronic asthma severity (intermittent, mild persistent, moderate persistent, severe persistent/other) as defined by the National Heart, Lung, and Blood Institute, severe hospitalization (requiring continuous albuterol or intensive care unit care), and time to emergency department (ED) readmission and rehospitalization within 365 days of the index visit, respectively. RESULTS In the sample (N = 664), 21% had severe persistent/other asthma, 22% had severe hospitalization, 37% were readmitted to the ED, and 19% were rehospitalized. Increasing RI was independently associated with more severe chronic asthma (odds ratio = 1.18, 95% confidence interval [CI] = 1.05, 1.32, P = .004), greater risk of 365-day ED readmission (hazard ratio [HR] = 1.10, 95% CI = 1.05, 1.15, P < .0001), and greater risk of 365-day rehospitalization (HR = 1.09, 95% CI = 1.03, 1.14, P = .002). There were no significant associations between ADI and these outcomes. Further, we did not find significant evidence of interactive effects. CONCLUSIONS RI appears to be modestly associated with pediatric asthma outcomes, independent of current neighborhood deprivation.
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Affiliation(s)
- Adolfo L Molina
- Department of Pediatrics, Division of Pediatric Hospital Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Yamilé Molina
- School of Public Health, Division of Community Health Sciences, University of Illinois at Chicago, Chicago, Illinois
| | - Susan C Walley
- Department of Pediatrics, Division of Pediatric Hospital Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Chang L Wu
- Department of Pediatrics, Division of Pediatric Hospital Medicine, University of Alabama at Birmingham, Birmingham, Alabama
| | - Aowen Zhu
- Department of Pediatrics, Division of Pediatric Pulmonary and Sleep Medicine, University of Alabama at Birmingham, Birmingham, Alabama.,Department of Sociology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Gabriela R Oates
- Department of Pediatrics, Division of Pediatric Pulmonary and Sleep Medicine, University of Alabama at Birmingham, Birmingham, Alabama
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Knittel AK, Graham LF, Lopez W, Snow RC. Criminal Justice Involvement among Young People Exchanging Sex in Detroit. CHILDREN AND YOUTH SERVICES REVIEW 2018; 93:1-11. [PMID: 34366526 PMCID: PMC8345281 DOI: 10.1016/j.childyouth.2018.06.041] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
For young adult sex workers, the risk of arrest and incarceration are dramatically influenced by the venue of sex exchange and individual and neighborhood characteristics. Using a unique venue-based survey sample of young adults in Detroit who are exchanging sex, multivariable logistic regression models were used to identify associations with arrest and incarceration. Criminal justice involvement was normative, and risk was increased by working on the street venue, using drugs, lacking stable housing, juvenile arrest or incarceration, dropping out of school before age 18, and neighborhood characteristics. Several promising points of intervention could reduce criminal justice involvement for young adults exchanging sex.
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Affiliation(s)
- Andrea K. Knittel
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029 USA
| | - Louis F. Graham
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029 USA
| | - William Lopez
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029 USA
| | - Rachel C. Snow
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029 USA
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Cotton BP, Lohman MC, Brooks JM, LaGasse LL. Perinatal substance use, residential instability, and negative behavioral outcomes among adolescents: Lessons from the maternal lifestyle study. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2018; 30:149-155. [PMID: 29602191 DOI: 10.1111/jcap.12188] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2017] [Revised: 02/26/2018] [Accepted: 02/27/2018] [Indexed: 11/27/2022]
Abstract
PROBLEM Both housing instability and prenatal substance use are known risk factors for behavioral problems among adolescents. METHODS The purpose of this study was to investigate the association between residential instability (residential mobility and homelessness) and delinquent behaviors among adolescents enrolled in the maternal lifestyle study (MLS), a 16-year research study that explored short-term and long-term effects of in-utero exposure to cocaine and/or opiates (N = 736). Logistic regression was used to measure the association between housing problems with youth crimes, school delinquency, and substance use at 11, 15, and 16 years of age. FINDINGS Both high-frequency residential mobility and homelessness were associated with deviant behaviors across the entire sample of children born with in-utero cocaine/opiate exposure and those without. CONCLUSIONS Psychiatric nursing care of youth should include a comprehensive assessment of residential instability to identify risk and target potential interventions.
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Affiliation(s)
- Brandi P Cotton
- College of Nursing of the University of Rhode Island, Kingston, RI, USA
| | - Matthew C Lohman
- Epidemiology & Biostatistics of the University of South Carolina, Columbia, SC, USA
| | - Jessica M Brooks
- Department of Psychiatry of the Geisel School of Medicine at Dartmouth, Hanover, NH, USA
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Cotton BP. Residential Mobility and Social Behaviors of Adolescents: A Systematic Review of the Literature. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2016; 29:177-187. [PMID: 28004428 DOI: 10.1111/jcap.12161] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2016] [Revised: 11/08/2016] [Accepted: 11/11/2016] [Indexed: 11/26/2022]
Abstract
PROBLEM The association between residential mobility and negative behaviors in adolescence has attracted multidisciplinary attention. METHODS The purpose of this article is to conduct a systematic literature review in order to synthesize research that measured mobility and at least one social behavior among participants 11 thru 18 years of age. The systematic search yielded 22 studies. FINDINGS Residential mobility is associated with negative behaviors among adolescents, including social problems, delinquency, substance and nicotine use, and adolescent pregnancy. However, these effects are explained by neighborhood disadvantage and inherent differences between movers and nonmovers. CONCLUSION For youth from disadvantaged backgrounds, moving may be one indicator of problem behaviors. Attending to when and why youth move-and to where-contributes to an understanding of the etiology of risky behaviors.
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Affiliation(s)
- Brandi Parker Cotton
- Postdoctoral Fellow, Department of Psychiatry, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA
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